Part-Time Insurance Verification & Authorization Specialist

Optimus Health Care Inc.; Stamford, Northern (CT, KY); Hybrid; USD 28,000 - 39,000; Part time

Job summary

Optimus Health Care Inc. in Stamford, CT, is seeking a Part-Time Insurance Verification & Authorization Specialist to join the Behavioral Health department. This role focuses on verifying insurance coverage, obtaining approvals, and guiding patients through their benefits to ensure timely access to services.

You’ll work with Providers, Nurses and staff to verify demographics, coordinate benefits, update notes, and refer entitlements as needed, with the flexibility to cover other sites.

Qualifications

• Five years experience preferred, preferably in a health care setting.
• Familiarity with EMR is helpful.
• Commitment to maintaining patient privacy.
• Flexibility to work at other Optimus Health Care sites.

Responsibilities

• Verify insurances to ensure billing of services.
• Verify coverage, copays and deductibles and pre-authorization requirements.
• Coordinate benefits using the birthday rule for minors when applicable.
• Update patient notes with insurance changes for department history.
• Assist the Practice Manager with special projects including billing improvement initiatives.
• Refer entitlement cases to FCC when patient qualifies.
• Communicate with patients about coverage and any information required by carriers.
• Perform other related duties as required.

Skills

Insurance verification

Authorization processing

EMR familiarity

Patient communication

Tools

EMR system

Job description

Optimus Health Care Inc. in Stamford, CT, is seeking a Part-Time Insurance Verification & Authorization Specialist to join the Behavioral Health department. This role focuses on verifying insurance coverage, obtaining approvals, and guiding patients through their benefits to ensure timely access to services.

You’ll work with Providers, Nurses and staff to verify demographics, coordinate benefits, update notes, and refer entitlements as needed, with the flexibility to cover other sites.